DISEASES FOLLOWING PARTURITION. 237 



eversion, but with the womb as yet of its natural bulk and consistency, 

 and the cow standing, straining being checked by pinching the back, a 

 sheet is held by two men so as to sustain the everted womb and raise 

 it to the level of the vulva. It is now sponged clean with cold water, the 

 cold being useful iu driving out the blood and reducing the bulk, and 

 finally it may be sponged over with laudanum or with a weak solution 

 of carbolic acid (1 dram to 1 quart water). The closed fist may now be 

 planted in the rounded end of the largest horn and pushed on so as to 

 turn it back within itself and carry it on through the vagina, the other 

 hand being used meanwhile to assist in the inversion and in pushing 

 the different masses in succession within the lips of the vulva. In case 

 of failure, resort should be had at once to a plan which I have success- 

 fully followed for many years, but which has never been described save 

 by a short notice in my "Farmers' Veterinary Adviser," eighth edition. 

 Take a long linen or cotton bandage, 5 or G inches wide, and wind it 

 around the protruding womb as tightly as it can be drawn, beginning 

 at the free end and gradually covering the entire mass up to the vulva. 

 By this means the greater part of the blood will be forced out of the 

 organ and its bulk greatly reduced, so that its reduction is much facil- 

 itated. An additional advantage is found in the protection given to 

 the womb by its investing bandage, while it is being pushed forward 

 into the vagina and abdomen. In manipulating the exposed womb 

 there is always danger of laceration, but when the organ is covered 

 with a sheet it is next to impossible to tear it. The subsequent ma- 

 nipulation is as in the other case by pushing the blind end forward 

 within itself with the closed fist and carrying this on through the vagina 

 into the abdomen with the constant assistance of the other hand. It 

 will often be found convenient to use the edge of the left hand to push 

 the outer part of the protruding mass inside the lips of the vulva, while 

 the right hand and arm are carrying the central portions forward 

 through the vagina. An intelligent assistant, pushing with the palms 

 of both hands on the outer portion of the mass, will also afford material 

 assistance. As the womb is turned within itself the wrapping band- 

 age will gradually loosen, but once Ihe great mass has entered the 

 passages it is easy to compel the rest to follow, and the compression by 

 the bandage is no longer so important. When the womb is fully re- 

 placed the bandage is left in its interior in a series of loose folds, and 

 can be easily withdrawn. It is well to move the hand from side to 

 side to insure that the two horns of the womb are fully extended and 

 on about the same level before withdrawing the arm ami applying a 

 truss. 



When the womb has been long everted and is gorged with Mood, 

 inflamed and friable, there is often the additional disadvantage that the 

 animal is unable or unwilling to rise. When lying down the straining 

 can not be controlled so cfteetiially, and the compression of the belly 

 is so great as to prove a serious obstacle t< reduction, even in the 



